MICHELLE MACEY THACKER (NP-C) – Nurse Practitioner, NPI 1073003588
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MICHELLE MACEY THACKER (NP-C)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: ImmunoGen, Inc. ($26).
Total Amount
$61
General + Research + Ownership
Payments
3
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ImmunoGen, Inc. | $26 |
| Mylan Specialty L.P. | $23 |
| Corium, LLC | $12 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180615000103 | I | Nurse Practitioner | IL | TBD |
| I20230222000327 | I | Nurse Practitioner | IN | TBD |
| I20250714001058 | I | Nurse Practitioner | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 100 | $0 |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 28 | 28 | $0 |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 15 | 15 | $0 |
| 81003 | Automated urinalysis test | 13 | 12 | $0 |
Insurance plans in this area (ZIP 62439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NM | |
| Nurse Practitioner | IL | |
| General Surgery | IN | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| - | IN | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| General Surgery | TN |
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